| NPI | 1538510904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV8540) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008450-1) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2018-03-17 |